Dependent Care Flexible Spending Account (FSA) Worksheet

This worksheet can help you decide if you would benefit more from the Federal Child Care tax credit or from a Dependent Care FSA. It can also be used to determine an appropriate Dependent Care FSA election. For detailed tax rate information, consult your tax advisor.


Estimate Your Monthly Dependent Care Expenses
$
$
$
$
$
$
$
$
$ 0.00

Dependent Care FSA

$ 0.00
$ 0.00
$ 0.00

FEDERAL CHILD CARE TAX CREDIT

$ 0.00
$ 0.00

* If your spouse earns less than this amount, or if your spouse is a full-time student or is disabled, please contact Allegiance for help in determining maximum election allowed.

Contact Us: 1-877-424-3570
Hours: Monday-Friday 7:00 am -6:00 pm MST
Flex-inquire@askallegiance.com